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Daniel Pridemore, O.D
NPI 1104189877 · on the registry since 2012
Practice
- Address
- 2761 S 108th St
West Allis, WI 53227 - Phone
- (414) 321-2425
- Fax
- (414) 321-4647
- Organisation at this address
- Stein Optical Inc
Visionworks, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin